在儿科卫生保健机构工作的护士的道德困境
Ana Cristina Ribeiro Miranda1, Sara Duarte Fernandes1, Sílvia Ramos1
1Nursing School Lisbon, Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal.
Healthcare (Basel, Switzerland)
|July 13, 2024
概括
儿科护理护士经历道德困扰,通常是由于过度治疗,影响他们的福祉. 促进道德环境和同行支持对于预防和建立道德性至关重要.
科学领域:
- 护理 护理 护理
- 儿科医疗保健 儿科医疗保健
- 生物伦理学生物伦理学
背景情况:
- 在护理文献中,道德困扰是一个公认的问题,特别是在儿科环境中.
- 尽管它得到了认可,但在临床实践中,道德痛苦往往没有得到充分的讨论.
- 这种现象与儿科医疗保健中不成比例的护理和过度治疗有关.
研究的目的:
- 将现有证据绘制为儿童医疗保健护士所经历的道德痛苦的现有证据.
- 为了提供一个全面的现象的概述在各种儿科设置,从家庭护理到医院.
主要方法:
- 根据乔安娜·布里格斯研究所的指导方针进行的范围审查.
- 使用词典和免费搜索术语搜索国际数据库.
- 使用Rayyan QCRI进行的查和分析,包括54项英语和葡萄牙语研究.
主要成果:
- 伦理困扰是护士的主观经验,表现为各种症状.
- 原因包括过度治疗和在儿科背景下不成比例的护理.
- 在文学中讨论道德困境与在临床实践中承认道德困境之间存在一个差距.
结论:
- 儿科卫生保健机构应促进健康的道德气候和道德社区.
- 干预措施应侧重于同行支持,教育,沟通和领导参与.
- 最终的目标是防止道德困境的后果,并培养护士的道德性.
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